Update organization's benefits to be compliance with the Patient Protection and Affordable Care Act (ACA)
That equals nearly 2.5 billion cigarettes
A key assumption of permutation tests is exchangeability and therefore, we permuted the exposure conditional on the subject (e.g., exposure was permuted on the HBEC values from a single donor, not across donors) and kept the numbers of permuted observations under each condition the same as the observed results
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